SEC Form 4 · accession 0001504292-15-000003
LIBERATOR MEDICAL HOLDINGS, INC. · LBMH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tyler Shaw Wick
Director
Period of report
Dec 4, 2015
Accepted (ET)
Dec 4, 2015 · 4:34 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000017485
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Dec 4, 2015 | A | 11,250 | $0.97 | A | 205,013 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy) | $0.97 | Dec 4, 2015 | M | 11,250 | A | Jul 1, 2014 | Feb 14, 2018 | Common Stock | 11,250 | 0 | D |